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Published in: AIDS and Behavior 4/2016

Open Access 01-04-2016 | Original Paper

Community Collectivization and Consistent Condom Use Among Female Sex Workers in Southern India: Evidence from Two Rounds of Behavioral Tracking Surveys

Authors: Shanti Vejella, Sangram Kishor Patel, Niranjan Saggurti, Parimi Prabhakar

Published in: AIDS and Behavior | Issue 4/2016

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Abstract

Community collectivization is an integral part of condom use and HIV risk reduction interventions among key population. This study assesses community collectivization among female sex workers (FSWs), and explores its relationship with sex workers’ consistent condom use (CCU) with different partners considering the interaction effect of time and collectivization. Data were drawn from two rounds of cross-sectional surveys collected during 2010 (N1 = 1986) and 2012 (N2 = 1973) among FSWs in Andhra Pradesh, India. Results of the multiple logistic regression analysis show that, CCU with regular and occasional clients increased over the inter-survey period among FSWs with a high collective efficacy (AOR 2.9 and 6.1) and collective agency (AOR 14.4 and 19.0) respectively. The association of high levels of collectivization with CCU and self-efficacy for condom use are central to improve the usefulness and sustainability of HIV prevention programs worldwide.
Literature
1.
go back to reference Chattopadhyay A, McKaig RG. Social development of commercial sex workers in India: an essential step in HIV/AIDS prevention. AIDS Patient Care STDS. 2004;18(3):159–68.CrossRefPubMed Chattopadhyay A, McKaig RG. Social development of commercial sex workers in India: an essential step in HIV/AIDS prevention. AIDS Patient Care STDS. 2004;18(3):159–68.CrossRefPubMed
2.
go back to reference Rau B. The Avahan-India AIDS initiative: promising approaches to combination HIV prevention programming in concentrated epidemics. Case study series. 2011. Arlington, VA: USAID’s AIDS Support and Technical Assistance Resources, AIDSTAR-One, task order 1. Rau B. The Avahan-India AIDS initiative: promising approaches to combination HIV prevention programming in concentrated epidemics. Case study series. 2011. Arlington, VA: USAID’s AIDS Support and Technical Assistance Resources, AIDSTAR-One, task order 1.
3.
go back to reference Ford K, Wirawan DN, Reed BD, Muliawan P, Wolfe R. The Bali STD/AIDS Study: evaluation of an intervention for sex workers. Sex Transm Dis. 2002;29(1):50–8.CrossRefPubMed Ford K, Wirawan DN, Reed BD, Muliawan P, Wolfe R. The Bali STD/AIDS Study: evaluation of an intervention for sex workers. Sex Transm Dis. 2002;29(1):50–8.CrossRefPubMed
4.
go back to reference Blanchard JF, O’Neil J, Ramesh BM, Bhattacharjee P, Orchard T, Moses S. Understanding the social and cultural contexts of female sex workers in Karnataka, India: implications for prevention of HIV infection. J Infect Dis. 2005;1(191 Suppl 1):S139–46.CrossRef Blanchard JF, O’Neil J, Ramesh BM, Bhattacharjee P, Orchard T, Moses S. Understanding the social and cultural contexts of female sex workers in Karnataka, India: implications for prevention of HIV infection. J Infect Dis. 2005;1(191 Suppl 1):S139–46.CrossRef
5.
go back to reference Halli SS, Ramesh BM, O’Neil J, Moses S, Blanchard JF. The role of collectives in STI and HIV/AIDS prevention among female sex workers in Karnataka, India. AIDS Care. 2006;18(7):739–49.CrossRefPubMed Halli SS, Ramesh BM, O’Neil J, Moses S, Blanchard JF. The role of collectives in STI and HIV/AIDS prevention among female sex workers in Karnataka, India. AIDS Care. 2006;18(7):739–49.CrossRefPubMed
6.
go back to reference Rou K, Wu Z, Sullivan SG, Li F, Guan J, Xu C, et al. A five-city trial of a behavioural intervention to reduce sexually transmitted disease/HIV risk among sex workers in China. AIDS. 2007;21(Suppl 8):S95–101.CrossRefPubMed Rou K, Wu Z, Sullivan SG, Li F, Guan J, Xu C, et al. A five-city trial of a behavioural intervention to reduce sexually transmitted disease/HIV risk among sex workers in China. AIDS. 2007;21(Suppl 8):S95–101.CrossRefPubMed
7.
go back to reference Blankenship KM, Friedman SR, Dworkin S, Mantell JE. Structural interventions: concepts, challenges and opportunities for research. J Urban Health. 2006;83(1):59–72.CrossRefPubMedPubMedCentral Blankenship KM, Friedman SR, Dworkin S, Mantell JE. Structural interventions: concepts, challenges and opportunities for research. J Urban Health. 2006;83(1):59–72.CrossRefPubMedPubMedCentral
8.
go back to reference Evans C, Jana S, Lambert H. What makes a structural intervention? Reducing vulnerability to HIV in community settings, with particular reference to sex work. Glob Public Health. 2010;5(5):449–61.CrossRefPubMed Evans C, Jana S, Lambert H. What makes a structural intervention? Reducing vulnerability to HIV in community settings, with particular reference to sex work. Glob Public Health. 2010;5(5):449–61.CrossRefPubMed
9.
go back to reference Auerbach JD, Parkhurst JO, Caceres CF. Addressing social drivers of HIV/AIDS for the long-term response: conceptual and methodological considerations. Glob Public Health. 2011;6(Suppl 3):S293–309.CrossRefPubMed Auerbach JD, Parkhurst JO, Caceres CF. Addressing social drivers of HIV/AIDS for the long-term response: conceptual and methodological considerations. Glob Public Health. 2011;6(Suppl 3):S293–309.CrossRefPubMed
10.
go back to reference Avahan. Avahan—the India AIDS initiative: the business of HIV prevention at Scale. New Delhi: Bill & Melinda Gates Foundation. 2008. Avahan. Avahan—the India AIDS initiative: the business of HIV prevention at Scale. New Delhi: Bill & Melinda Gates Foundation. 2008.
11.
go back to reference Erausquin JT, Biradavolu M, Reed E, Burroway R, Blankenship KM. Trends in condom use among female sex workers in Andhra Pradesh, India: the impact of a community mobilisation intervention. J Epidemiol Community Health. 2012;66(Suppl 2):ii49–54.CrossRefPubMedPubMedCentral Erausquin JT, Biradavolu M, Reed E, Burroway R, Blankenship KM. Trends in condom use among female sex workers in Andhra Pradesh, India: the impact of a community mobilisation intervention. J Epidemiol Community Health. 2012;66(Suppl 2):ii49–54.CrossRefPubMedPubMedCentral
12.
go back to reference Jana S, Singh S. Beyond medical model of STD intervention-lessons from Sonagachi. Indian J Public Health. 1995;39(3):125–31.PubMed Jana S, Singh S. Beyond medical model of STD intervention-lessons from Sonagachi. Indian J Public Health. 1995;39(3):125–31.PubMed
13.
go back to reference Nath MB. Women’s health and HIV: experience from a sex workers’ project in Calcutta. Gend Dev. 2000;8(1):100–8.CrossRefPubMed Nath MB. Women’s health and HIV: experience from a sex workers’ project in Calcutta. Gend Dev. 2000;8(1):100–8.CrossRefPubMed
14.
go back to reference Latkin CA, Knowlton AR. Micro-social structural approaches to HIV prevention: a social ecological perspective. AIDS Care. 2005;17(Suppl 1):S102–13.CrossRefPubMed Latkin CA, Knowlton AR. Micro-social structural approaches to HIV prevention: a social ecological perspective. AIDS Care. 2005;17(Suppl 1):S102–13.CrossRefPubMed
15.
go back to reference Blankenship KM, Bray SJ, Merson MH. Structural interventions in public health. AIDS. 2000;14(Suppl 1):S11–21.CrossRefPubMed Blankenship KM, Bray SJ, Merson MH. Structural interventions in public health. AIDS. 2000;14(Suppl 1):S11–21.CrossRefPubMed
16.
go back to reference Blankenship KM, West BS, Kershaw TS, Biradavolu MR. Power, community mobilization, and condom use practices among female sex workers in Andhra Pradesh, India. AIDS. 2008;22(Suppl 5):S109–16.CrossRefPubMed Blankenship KM, West BS, Kershaw TS, Biradavolu MR. Power, community mobilization, and condom use practices among female sex workers in Andhra Pradesh, India. AIDS. 2008;22(Suppl 5):S109–16.CrossRefPubMed
17.
go back to reference Kothari U. Power, knowledge and social control in participatory development. In: Kothari BCU, editor. Participation: The new tyranny?. London: Zed Books; 2001. p. 139–52. Kothari U. Power, knowledge and social control in participatory development. In: Kothari BCU, editor. Participation: The new tyranny?. London: Zed Books; 2001. p. 139–52.
18.
go back to reference Tripathy P, Nair N, Mahapatra R, Rath S, Gope RK, Bajpai A, et al. Community mobilisation with women’s groups facilitated by Accredited Social Health Activists (ASHAs) to improve maternal and newborn health in underserved areas of Jharkhand and Orissa: study protocol for a cluster-randomised controlled trial. Trials. 2011;12:182.CrossRefPubMedPubMedCentral Tripathy P, Nair N, Mahapatra R, Rath S, Gope RK, Bajpai A, et al. Community mobilisation with women’s groups facilitated by Accredited Social Health Activists (ASHAs) to improve maternal and newborn health in underserved areas of Jharkhand and Orissa: study protocol for a cluster-randomised controlled trial. Trials. 2011;12:182.CrossRefPubMedPubMedCentral
19.
go back to reference Thomas T, Narayanan P, Wheeler T, Kiran U, Joseph MJ, Ramanathan TV. Design of a community ownership and preparedness index: using data to inform the capacity development of community-based groups. J Epidemiol Community Health. 2012;66(Suppl 2):ii26–33.CrossRefPubMed Thomas T, Narayanan P, Wheeler T, Kiran U, Joseph MJ, Ramanathan TV. Design of a community ownership and preparedness index: using data to inform the capacity development of community-based groups. J Epidemiol Community Health. 2012;66(Suppl 2):ii26–33.CrossRefPubMed
20.
go back to reference Saggurti N, Mishra RM, Proddutoor L, Tucker S, Kovvali D, Parimi P, et al. Community collectivization and its association with consistent condom use and STI treatment-seeking behaviors among female sex workers and high-risk men who have sex with men/transgenders in Andhra Pradesh, India. AIDS Care. 2013;25(Suppl 1):S55–66.CrossRefPubMedPubMedCentral Saggurti N, Mishra RM, Proddutoor L, Tucker S, Kovvali D, Parimi P, et al. Community collectivization and its association with consistent condom use and STI treatment-seeking behaviors among female sex workers and high-risk men who have sex with men/transgenders in Andhra Pradesh, India. AIDS Care. 2013;25(Suppl 1):S55–66.CrossRefPubMedPubMedCentral
21.
go back to reference Galavotti C, Wheeler T, Kuhlmann AS, Saggurti N, Narayanan P, Kiran U, et al. Navigating the swampy lowland: a framework for evaluating the effect of community mobilisation in female sex workers in Avahan, the India AIDS Initiative. J Epidemiol Community Health. 2012;66(Suppl 2):ii9–15.CrossRefPubMedPubMedCentral Galavotti C, Wheeler T, Kuhlmann AS, Saggurti N, Narayanan P, Kiran U, et al. Navigating the swampy lowland: a framework for evaluating the effect of community mobilisation in female sex workers in Avahan, the India AIDS Initiative. J Epidemiol Community Health. 2012;66(Suppl 2):ii9–15.CrossRefPubMedPubMedCentral
22.
go back to reference Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.CrossRefPubMed Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.CrossRefPubMed
23.
go back to reference Wheeler T, Kiran U, Dallabetta G, Jayaram M, Chandrasekaran P, Tangri A, et al. Learning about scale, measurement and community mobilisation: reflections on the implementation of the Avahan HIV/AIDS initiative in India. J Epidemiol Community Health. 2012;66(Suppl 2):ii16–25.CrossRefPubMed Wheeler T, Kiran U, Dallabetta G, Jayaram M, Chandrasekaran P, Tangri A, et al. Learning about scale, measurement and community mobilisation: reflections on the implementation of the Avahan HIV/AIDS initiative in India. J Epidemiol Community Health. 2012;66(Suppl 2):ii16–25.CrossRefPubMed
24.
go back to reference Jana S, Basu I, Rotheram-Borus MJ, Newman PA. The Sonagachi project: a sustainable community intervention program. AIDS Educ Prev. 2004;16(5):405–14.CrossRefPubMed Jana S, Basu I, Rotheram-Borus MJ, Newman PA. The Sonagachi project: a sustainable community intervention program. AIDS Educ Prev. 2004;16(5):405–14.CrossRefPubMed
26.
go back to reference Chandrasekaran P, Dallabetta G, Loo V, Rao S, Gayle H, Alexander A. Containing HIV/AIDS in India: the unfinished agenda. Lancet Infect Dis. 2006;6(8):508–21.CrossRefPubMed Chandrasekaran P, Dallabetta G, Loo V, Rao S, Gayle H, Alexander A. Containing HIV/AIDS in India: the unfinished agenda. Lancet Infect Dis. 2006;6(8):508–21.CrossRefPubMed
27.
go back to reference Ghose T, Swendeman D, George S, Chowdhury D. Mobilizing collective identity to reduce HIV risk among sex workers in Sonagachi, India: the boundaries, consciousness, negotiation framework. Soc Sci Med. 2008;67(2):311–20.CrossRefPubMedPubMedCentral Ghose T, Swendeman D, George S, Chowdhury D. Mobilizing collective identity to reduce HIV risk among sex workers in Sonagachi, India: the boundaries, consciousness, negotiation framework. Soc Sci Med. 2008;67(2):311–20.CrossRefPubMedPubMedCentral
28.
go back to reference Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet. 2008;372(9640):764–75.CrossRefPubMed Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet. 2008;372(9640):764–75.CrossRefPubMed
29.
go back to reference Gaikwad SS, Bhende A, Nidhi G, Saggurti N, Ranebennur V. How effective is community mobilisation in HIV prevention among highly diverse sex workers in urban settings? The Aastha intervention experience in Mumbai and Thane districts, India. J Epidemiol Community Health. 2012;66(Suppl 2):ii69–77.CrossRefPubMed Gaikwad SS, Bhende A, Nidhi G, Saggurti N, Ranebennur V. How effective is community mobilisation in HIV prevention among highly diverse sex workers in urban settings? The Aastha intervention experience in Mumbai and Thane districts, India. J Epidemiol Community Health. 2012;66(Suppl 2):ii69–77.CrossRefPubMed
30.
go back to reference Armstrong G, Medhi GK, Kermode M, Mahanta J, Goswami P, Paranjape R. Exposure to HIV prevention programmes associated with improved condom use and uptake of HIV testing by female sex workers in Nagaland, Northeast India. BMC Public Health. 2013;13:476.CrossRefPubMedPubMedCentral Armstrong G, Medhi GK, Kermode M, Mahanta J, Goswami P, Paranjape R. Exposure to HIV prevention programmes associated with improved condom use and uptake of HIV testing by female sex workers in Nagaland, Northeast India. BMC Public Health. 2013;13:476.CrossRefPubMedPubMedCentral
31.
go back to reference Blankenship KM, Burroway R, Reed E. Factors associated with awareness and utilisation of a community mobilisation intervention for female sex workers in Andhra Pradesh, India. Sex Transm Infect. 2010;86(Suppl 1):i69–75.CrossRefPubMedPubMedCentral Blankenship KM, Burroway R, Reed E. Factors associated with awareness and utilisation of a community mobilisation intervention for female sex workers in Andhra Pradesh, India. Sex Transm Infect. 2010;86(Suppl 1):i69–75.CrossRefPubMedPubMedCentral
32.
go back to reference Cornish F, Ghosh R. The necessary contradictions of ‘community-led’ health promotion: a case study of HIV prevention in an Indian red light district. Soc Sci Med. 2007;64(2):496–507.CrossRefPubMed Cornish F, Ghosh R. The necessary contradictions of ‘community-led’ health promotion: a case study of HIV prevention in an Indian red light district. Soc Sci Med. 2007;64(2):496–507.CrossRefPubMed
33.
go back to reference Smith D, Herbst J, Zhang X, Rose C. Condom efficacy by consistency of use among men who have sex with men: US. 20th Conference on Retroviruses and Opportunistic Infections (CROI 2013); 3–6 March, 2013; Atlanta 2013. Smith D, Herbst J, Zhang X, Rose C. Condom efficacy by consistency of use among men who have sex with men: US. 20th Conference on Retroviruses and Opportunistic Infections (CROI 2013); 3–6 March, 2013; Atlanta 2013.
34.
go back to reference Magnani R, Sabin K, Saidel T, Heckathorn D. Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS. 2005;19(Suppl 2):S67–72.CrossRefPubMed Magnani R, Sabin K, Saidel T, Heckathorn D. Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS. 2005;19(Suppl 2):S67–72.CrossRefPubMed
35.
go back to reference Cozby P. Methods in behavior research. London: Mayfield Publishing Co.; 1997. Cozby P. Methods in behavior research. London: Mayfield Publishing Co.; 1997.
36.
go back to reference Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51(6):1173–82.CrossRefPubMed Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51(6):1173–82.CrossRefPubMed
37.
go back to reference Hayes A. Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Commun Monogr. 2009;76(4):408–20.CrossRef Hayes A. Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Commun Monogr. 2009;76(4):408–20.CrossRef
38.
go back to reference Jain AK, Saggurti N. The extent and nature of fluidity in typologies of female sex work in southern India: implications for HIV prevention programs. J HIV AIDS Soc Serv. 2012;11(2):169–91.CrossRefPubMedPubMedCentral Jain AK, Saggurti N. The extent and nature of fluidity in typologies of female sex work in southern India: implications for HIV prevention programs. J HIV AIDS Soc Serv. 2012;11(2):169–91.CrossRefPubMedPubMedCentral
39.
go back to reference Mahapatra B, Saggurti N, Halli SS, Jain AK. HIV risk behaviors among female sex workers using cell phone for client solicitation in India. J AIDS Clin Res. 2012;S1:014. Mahapatra B, Saggurti N, Halli SS, Jain AK. HIV risk behaviors among female sex workers using cell phone for client solicitation in India. J AIDS Clin Res. 2012;S1:014.
Metadata
Title
Community Collectivization and Consistent Condom Use Among Female Sex Workers in Southern India: Evidence from Two Rounds of Behavioral Tracking Surveys
Authors
Shanti Vejella
Sangram Kishor Patel
Niranjan Saggurti
Parimi Prabhakar
Publication date
01-04-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1171-2

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